NORTHEAST GEORGIA MEDICAL CENTER, INC. v. SHIRLEY METCALF AS ADMINISTRATRIX OF THE ESTATE OF FRANCIS LORRAINE MITCHELL

• Court: Court of Appeals of Georgia
• Decided: March 24, 2022
• Docket: A22A0149
• Status: Published

Opinion

FOURTH DIVISION DILLARD, P. J., MERCIER, and MARKLE, JJ.,

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. https://www.gaappeals.us/rules

March 24, 2022

In the Court of Appeals of Georgia A22A0149. NORTHEAST GEORGIA MEDICAL CENTER, INC. et al. v. METCALF et al.

MERCIER, Judge.

Francis Lorraine Mitchell died following a surgical procedure performed by Dr.

Andrew Green. Mitchell’s mother (Shirley Metcalf), acting individually and as

executrix of Mitchell’s estate, and her adult children (Kerrigan Blackwell and

Brandon Mitchell), acting individually, sued Green and several additional providers

for medical malpractice and ordinary negligence, seeking damages for wrongful death

and other claims. At the end of a multi-day trial, a jury returned a general verdict for

the plaintiffs in the amount of $3 million.

The defendants appeal from the judgment entered on the verdict, arguing that

the plaintiffs lacked authority to bring a wrongful death action, that the trial court erred in denying their motion for directed verdict on the ordinary negligence claim,

and that the court erred in admitting certain evidence. For reasons that follow, we

vacate the trial court’s judgment and remand for a new trial.

Viewed favorably to the jury’s verdict, see Hillman v. Aldi, Inc., 349 Ga. App.

432, 432 (825 SE2d 870) (2019), the evidence shows that on Tuesday, May 3, 2016,

Green operated on Mitchell to remove an ovarian mass. When Mitchell returned

home later that day to recuperate, she was in significant pain, and Metcalf contacted

Green’s office because “it seemed like something was wrong.” Although the office

staff made suggestions for managing the pain, Mitchell’s discomfort continued. That

evening, Metcalf called an ambulance, and Mitchell returned to the hospital. She was

admitted, but released the following day (Wednesday). Back at home, Mitchell

remained in discomfort. On Thursday, May 5, 2016, Metcalf called Green’s office

multiple times, reporting that Mitchell’s condition had not improved and that she

believed something was wrong. The office, however, did not return her calls.

On Friday morning, Mitchell was agitated and “out of her head.” After Metcalf

called Green’s office again, the office finally responded to her, indicating that Green

had written a prescription for pain medication. Later that night, however, Mitchell

became unresponsive and died. An autopsy revealed that a small perforation or hole

2 in her bowel had caused an abdominal infection, resulting in her death. The medical

examiner who conducted the autopsy concluded that the perforation occurred during

the surgery performed by Green.

The plaintiffs sued Green and other providers to recover for Mitchell’s

wrongful death, pre-death pain and suffering, medical expenses, and additional

damages.1 At trial, a medical expert testified that the perforation occurred during

surgery, that Green failed to discover and remedy the perforation, and that the

perforation caused Mitchell to enter septic shock, leading to her death. The jury

awarded the plaintiffs $3 million, and this appeal followed.

1. The defendants first argue that the plaintiffs lacked authority or standing to

bring a claim for Mitchell’s wrongful death. We agree.

Wrongful death actions are governed by Georgia’s Wrongful Death Act (“the

Act”), OCGA § 51-4-1 et seq. Because there is no common law right to file a claim

for wrongful death, the Act is in derogation of common law, and its scope “must be

limited in strict accordance with the statutory language used therein.” Connell v.

1 See Bibbs v. Toyota Motor Corp., 304 Ga. 68, 72 (2) n.6 (815 SE2d 850) (2018) (“A survivor’s statutory claim for a decedent’s wrongful death and an estate’s common-law claim for the same decedent’s pain and suffering are distinct causes of action.”) (citation and punctuation omitted).

3 Hamon, 361 Ga. App. 830, 832 (863 SE2d 744) (2021) (citation and punctuation

omitted). The Act addresses standing specifically, identifying the circumstances under

which particular classes of individuals may bring a wrongful death claim. Pursuant

to OCGA § 51-4-2 (a), “[t]he surviving spouse or, if there is no surviving spouse, a

child or children, either minor or sui juris, may recover for the homicide of the spouse

or parent the full value of the life of the decedent, as shown by the evidence.”2 Absent

a surviving spouse or child, the decedent’s parents may file the wrongful death claim.

See OCGA §§ 19-7-1, 51-4-4. And if no person is otherwise entitled to bring the

claim, the administrator or executor of the decedent’s estate may file a wrongful death

action. See OCGA § 51-4-5 (a).

The plaintiffs in this case are Mitchell’s mother (Metcalf) and two adult

children (Kerrigan and Brandon). As noted above, a decedent’s children, parents, and

estate executor are in the line of succession to bring a wrongful death action. The first

person authorized to file a claim, however, is a surviving spouse. See OCGA § 51-4-2

(a). And the record shows that Mitchell was married at the time of her death.

2 In this context, the term “homicide” includes “all cases in which the death of a human being results from a crime, from criminal or other negligence, or from property which has been defectively manufactured, whether or not as the result of negligence.” OCGA § 51-4-1 (2).

4 Although she and her husband were estranged, they were still married when Mitchell

died, and the plaintiffs have cited no evidence that her husband was not alive at the

time of trial. In fact, the husband provided deposition testimony during the litigation.

Under the plain terms of OCGA § 51-4-2 (a), Mitchell’s husband was the

proper party to seek recovery for her wrongful death. Nevertheless, the plaintiffs

argued below — and they contend on appeal — that the trial court had equitable

authority to grant them standing because Mitchell’s estranged husband lacks a

relationship with his son Brandon, is not Kerrigan’s father, and elected not to pursue

a wrongful death claim. The trial court agreed, purporting to vest “exclusive

standing” in Mitchell’s mother and children.

It is true that Georgia courts have applied an equitable exception to the

wrongful death standing requirements in cases involving minor children and a

surviving spouse who cannot be found or elects not to file a claim. See Brown v.

Liberty Oil & Refining Corp., 261 Ga. 214, 215-216 (2) (403 SE2d 806) (1991);

Emory Univ. v. Dorsey, 207 Ga. App. 808, 809-810 (2) (429 SE2d 307) (1993); see

also Blackmon v. Tenet Healthsystem Spalding, Inc., 284 Ga. 369, 371 (667 SE2d

348) (2008) (“Although the [wrongful death] statute says the deceased’s surviving

spouse must bring the action, both this Court and the Court of Appeals have allowed

5 other persons acting in a representative capacity to maintain a wrongful death action

on behalf of a minor child where the surviving spouse declines to pursue the claim.”).

But this litigation does not involve minor children. Mitchell’s mother and adult

children seek an exception to the Act’s provisions. And we recently determined in

Connell, supra, that the exception does not extend to adult children in a case such as

this.3

The Connell court addressed the key issue before us: whether a trial court may

leapfrog an estranged spouse who refuses to bring a wrongful death claim and vest

standing in the decedent’s adult child (or another party down the line of standing

succession). See id. at 837. After generally discussing equity jurisdiction, as well as

the history of the Act’s standing requirements, the Connell court answered that

question in the negative, concluding that the trial court had “impermissibly expanded

the scope of the equitable exception . . . [by] granting [the decedent’s child], an adult,

standing to bring a wrongful death action where the surviving spouse, albeit

estranged, elected not to do so.” Id. As the court explained:

3 Here, like in Connell, there is no allegation that the surviving spouse cannot be found, that he abandoned a legal obligation to support the adult children, or that he was somehow unable to bring a wrongful death claim. See Connell, supra at 835, 383.

6 Even when there are compelling circumstances, we cannot ignore the plain language of the statute and rewrite it to suit the facts of a particular case. The right to make such revisions or amendments is placed in the hands of the legislature, not the courts.

Id. at 838.

Pursuant to the Act, Mitchell’s husband — not her mother or adult children —

had authority to bring a wrongful death action. Although equity permits a trial court

to avoid the Act’s strict standing requirements in some situations, this is not such a

case. As in Connell, the trial court improperly expanded the equitable exception by

granting the plaintiffs wrongful death standing over a surviving spouse. See Connell,

supra at 837. The plaintiffs were not entitled to recover for Mitchell’s wrongful death,

and the trial court erred in submitting their wrongful death claim to the jury. See id.

at 838-389; King v. Goodwin, 277 Ga. App. 188, 188-190 (626 SE2d 165) (2006)

(affirming summary judgment for defendants on wrongful death claim not brought

by proper party).

Given the jury’s general verdict for the plaintiffs, we cannot determine what

portion of the $3 million award related to the improper wrongful death claim.

Accordingly, we must vacate the judgment entered on the jury’s verdict and remand

for a new trial on the non-wrongful death claims. See generally Marks v. Flowers

7 Crossing Community Assn., 333 Ga. App. 476, 482 (1) (b) (773 SE2d 814) (2015)

(vacating judgment entered on jury’s verdict and remanding for a new trial; “because

the jury entered the award on a general verdict form, we have no way of knowing

whether this award was for the [invalid] claims or the other claims”).

2. In a separate claim of error, the defendants argue that the trial court erred in

denying their motion for directed verdict on the plaintiffs’ ordinary negligence claim.

Because resolution of this alleged error could impact the retrial of the non-wrongful

death claims, we will address it here. See, e.g., Jonas v. Jonas, 280 Ga. App. 155, 160

(3) (a) (633 SE2d 544) (2006) (claim on which directed verdict should have been

granted cannot be considered at retrial).

A trial court may direct a verdict only if “there is no conflict in the evidence

as to any material issue and the evidence introduced, with all reasonable deductions

therefrom, demands a certain verdict.” Central Ga. Women’s Health Center v. Dean,

342 Ga. App. 127, 133 (1) (b) (800 SE2d 594) (2017) (citation and punctuation

omitted). We will affirm the denial of a directed verdict if any evidence supports the

jury’s verdict. See id. Construed favorably to the plaintiffs, the evidence was

sufficient to avoid a directed verdict on ordinary negligence here. See id. (evidence

construed in light most favorable to party opposing the motion for directed verdict).

8 The plaintiffs’ ordinary negligence claim focused on the alleged failure of

Green’s staff to properly record and relay to Green information from the post-surgery

telephone calls made by Mitchell’s family. To this end, the plaintiffs presented

evidence that the office staff did not document several of the calls, including those

made by Metcalf on Thursday, May 5, 2016, which impeded communication with

Mitchell’s health care team and violated the medical practice’s own internal policies.

A registered nurse testified that, in her experience, Mitchell would have been told to

return to the hospital on Thursday if Metcalf’s first call that day had been properly

documented. The plaintiffs’ surgical expert further testified that at that point, Mitchell

was suffering from sepsis, but her life was “still salvageable” and she had a “50/50”

chance of survival.4

On appeal, the defendants argue that no evidence established a causal link

between Mitchell’s death and the staff’s failure to document telephone calls. Death,

however, was not the only injury alleged here. The estate’s non-wrongful death

claims, for example, sought compensation for Mitchell’s pre-death pain and suffering.

4 Any contradictions in the expert’s testimony (such as whether Mitchell’s life was “salvageable” or only had a 50/50 chance of survival) goes to the expert’s credibility, as assessed by the jury. See Naik v. Booker, 303 Ga. App. 282, 286 (692 SE2d 855) (2010).

9 And based on the evidence, the jury was authorized to find that if the staff had

properly recorded the calls, Mitchell would have been sent back to the hospital on

Thursday, at which point her life was “salvageable” and she had a 50 percent chance

of survival. Such evidence created a factual question as to whether a failure to

document calls injured Mitchell. See Naik v. Booker, 303 Ga. App. 282, 284-286 (692

SE2d 855) (2010) (question of fact remained as to whether surgeon’s failure to

operate caused patient’s death, given expert’s testimony that patient would have

survived had surgery been performed and had a “50-50 chance of leaving the hospital

in good condition” following surgery); MCG Health v. Barton, 285 Ga. App. 577,

583 (2) (647 SE2d 81) (2007) (question of fact as to causation raised by evidence that

if doctor had met standard of care with respect to treating plaintiff’s testicular injury,

plaintiff would have had a 50 percent chance of avoiding testicle loss). The trial court

properly denied the defendants’ motion for directed verdict on the ordinary

negligence claim. See Naik, supra; MCG Health, supra.

3. Finally, the defendants argue that the trial court erred in permitting the

plaintiffs to cross-examine Green regarding prior incidents and lawsuits involving his

other patients. The record shows that the trial court granted the defendants’ pre-trial

motion in limine to exclude evidence of other lawsuits, claims, or complaints. During

10 cross-examination, however, the trial court permitted plaintiffs’ counsel to ask Green

about two prior incidents involving other patients after counsel argued that the

questions were relevant to “explor[e]” Green’s testimony that he performed surgeries

with “precision.”

The defendants argue that the trial court should not have permitted this avenue

of cross-examination. It is unclear, however, whether the testimony and cross-

examination of Green (and any objections thereto) will develop in the same manner

on retrial. Under these circumstances, we decline to address this claim of error.

Judgment vacated and case remanded. Dillard, P. J., and Markle, J., concur.